Midwest Autism & Psychological Services, Pllc
NPI #1407561582 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1407561582
- Entity Type
- Organization
- Organization Name
- Midwest Autism & Psychological Services, Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 12400 PORTLAND AVE, STE 130
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-4915
- Phone
- (763) 607-7817
Authorized Official
- Name
- MEGAN MANTY, LPCC
- Title
- OWNER
- Phone
- (763) 607-7817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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